NPI | 1124295951 |
---|---|
Entity Type | Organization |
Authorized Contact | LISSA JONES Executive Director 612-871-7878 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MN 801134-2-CDT) |
Enumeration Date | 2008-05-12 |
Last Update Date | 2008-05-12 |